Chapter 16: Concepts of Inflammation and
Immunity Ignatavicius: Medical-Surgical Nursing,
10th Edition 2024-2025 Verified Answers
1. The nurse learns that the most important function of inflammation and immunity is
which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing maximum protection against infection
d. Regulating the process of self-tolerance - correct answer>>ANS: C
Immunity and Inflammation working together are critical to maintaining health,
preventing disease, and repairing tissue damage. When all the different parts and
functions of immunity are working well, the adult is immunocompetent and has
maximum protection against infection. Working together, their function is not limited to
destroying bacteria before damage occurs. They do not prevent the entry of all foreign
materials and immunity alone regulates the process of self-tolerance.
2. A nurse is assessing an older client for the presence of infection. The client's
temperature is 97.6° F (36.4° C). What response by the nurse is best? a.
Assess the client for more specific signs.
b. Conclude that an infection is not present.
c. Document findings and continue to monitor.
d. Request the primary health care provider order blood cultures - correct answer>>ANS:
A
Because older adults have decreased immune function, including reduced neutrophil
function, fever may not be present during an episode of infection. The nurse would
assess the client for specific signs of infection. Documentation needs to occur, but a
more thorough assessment comes first. Blood cultures may or may not be needed
depending on the results of further assessment
3. A clinic nurse is working with an older client. What action is most important for
preventing infections in this client?
a. Assessing vaccination records for booster shot needs b. Encouraging the client to eat a
nutritious diet
c. Instructing the client to wash minor wounds carefully
